Individual provider Active NPI

Dorothy O'Halloran, LCPC

  • Professional Counselor
  • Wheaton, IL
National Provider Identifier
1619007481
Registry record updated Sep 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180-005045 Issued in IL
Practice address
615 W Front St
Wheaton, IL 60187-5039
Phone
(630) 246-6988
Fax
(630) 246-6988
NPI assigned
Mar 7, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 180-005045 IL Primary

Addresses

Primary practice location

615 W Front St
Wheaton, IL 60187-5039

Mailing address

615 W Front St
Wheaton, IL 60187-5039
Phone (630) 246-6988

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
180-005045ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Dorothy O'Halloran P.C. Professional Current Accepting new patients
Centennial Counseling Center, PC PastSince Feb 1, 2007 Accepting new patients

Locations

615 W Front St
Wheaton, IL 60187
Phone (630) 246-6988

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631145600000",
    "number": "1619007481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 W FRONT ST",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601875039",
            "telephone_number": "630-246-6988",
            "fax_number": "630-246-6988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 W FRONT ST",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601875039",
            "telephone_number": "630-246-6988",
            "fax_number": "630-246-6988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'HALLORAN",
        "first_name": "DOROTHY",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-07",
        "last_updated": "2021-09-09",
        "certification_date": "2021-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180-005045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheaton, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.